Individual
KATHRYN MARIE POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9377 N HAGGERTY RD, PLYMOUTH, MI 48170
(734) 451-0070
(734) 451-1583
Mailing address
9377 N HAGGERTY RD, PLYMOUTH, MI 48170-4622
(734) 451-0070
(734) 451-1583
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006317
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601006317
LICENSE
MI
Enumeration date
03/05/2012
Last updated
10/22/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us